| NPI | 1104928290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE C HUNTER Business Office Manager 704-442-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |